- 期刊
Chordoma on FDG PET/CT: A Primary Malignant Tumor Arising from the Primitive Notochord Remnants of the Axial Bones
脊索瘤之氟-18去氧葡萄糖正子斷層：中軸骨原始脊索遺跡之原發性腫瘤
摘要
我們報告一位頸椎及胸椎脊索瘤(chordoma) 個案，合併椎旁肌肉、肺部及肋膜轉移。其在C6 到T7 脊索及脊旁區域，顯示氟-18 去氧葡萄糖正子斷層造影(FDG PET/CT) 活性攝取。這位17 歲女孩，初期出現異常及難以控制之走路步態，之後發展成尿糞失禁，並突然不能走路。磁振造影顯示C6-T4 脊椎骨轉移，合併脊椎旁及硬膜外腫瘤，於C6-T2 脊索壓迫，硬膜外腫瘤並往下延伸至T8。右側脊椎旁肌肉腫瘤切片，證實脊索瘤合併軟組織侵犯。
並列摘要
We presented a case of chordoma in the cervical and thoracic regions of the spine with para-spinal muscle, pulmonary and pleural metastases, which showed FDG uptake in the spinal cord and the para-spinal regions from C6 to T7. This 17-year-old girl had unusual and uncontrollable walking pattern initially, followed by incontinence and then suddenly the inability to walk. MRI showed bone metastases from C6 to T4 vertebrae with paraspinal and epidural tumor extension; cord compression at C6-T2; and downward epidural tumor extension to the T8 level. Tumor biopsy of the right paraspinal intramuscular tumor showed chordoma with soft tissue involvement.
延伸閱讀
- Chen, P. Y., Peng, N. J., & Hu, G. (2015). 氟-18去氧葡萄糖正子斷層造影發現神經淋巴瘤. 核子醫學暨分子影像雜誌, 28(1), 45-48. https://doi.org/10.6332/ANMMI.2801.007
- 顏國揚（2002）。比較全身氟-18去氧葡萄糖正子放射斷層攝影與鎝-99m亞甲基雙磷酸骨骼掃描偵測非小細胞肺癌病人骨骼轉移之結果。Mid-Taiwan Journal of Medicine，7(4)，244-249。https://doi.org/10.6558/MTJM.2002.7(4).7
- Tsai, S. Y., Huang, C. T., Chuang, Y. W., Chen, Y. W., & Chang, C. C. (2014). 類似骨骼掃描表現之氟化去氧葡萄糖正子電腦斷層影像：一骨髓原發瀰漫型大B細胞淋巴瘤之病例. 核子醫學暨分子影像雜誌, 27(3), 186-191. https://doi.org/10.6332/ANMMI.2703.003
- 陳明宗、陳遠光、辜啟泰、王素貞、沈業有（2003）。氟-18-去氧葡萄糖正子斷層造影及鎝-99m-MDP骨骼閃爍造影在McCune-Albright癥候群之表現。核子醫學雜誌，16(3)，143-146。https://doi.org/10.6332/ANMS.1603.006
- Chen, N. C., & Chang, Y. H. (2020). 案例報告：氟-18去氧葡萄糖正子斷層造影於抗合成酶抗體症候群的應用. 核子醫學暨分子影像雜誌, 33(1), 37-42. https://doi.org/10.6332/ANMMI.202003_33(1).0005